Profile of Hysterectomy Specimens: Prospective Clinco-Pathological Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Background: Hysterectomy is the most common operation performed by gynaecologists. Few studies have been done describing the pathological findings in hysterectomy specimens and while examining the relationship between the preoperative clinical indications and pathological diagnosis. Objectives: This study was undertaken to identify the most common pathologies in hysterectomy specimens and to correlate the findings with the clinical indications. Methodology: A total of 378 cases were studied over a period of two years. Specimens were formalin fixed and tissue was adequately processed from them. The sections were stained routinely with hematoxylin and eosin stain. Results: Menorrhagia (35.22%), fibroid uterus (26.63%) and uterovaginal prolapsed (13.05%) were the most common clinical indications for hysterectomy. The most common findings identified by histopathology were proliferative endometrium (39.41%) in endometrium, leiomyoma (31.48%) in myometrium, chronic cervicitis (50.26%) in cervix, ovarian cysts in ovaries and salpingitis in fallopian tubes. Conclusion: The histopathological examination confirmed the clinical diagnosis in majority of cases. However, it is mandatory that every hysterectomy specimen should be subjected to detailed histopathological examination to find missed pathologies to ensure better postoperative management.
Authors and Affiliations
Ajaz Amin Zargar, Reyaz Ahmad Tasleem, Farooq Sidieq Dar, Ruby Reshi, Nusrat Ali, Sheikh Imran Sayeed, Hilal Ahmad Wani
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